title: Rationale and use of perfusion variables in the 2010 update of the society of thoracic surgeons congenital heart surgery database.
abstract: Patients undergoing congenital heart surgery are at risk of morbidity and mortality. The reasons underlying this risk are complex. To identify opportunities to reduce adverse sequelae, the cardiovascular perfusion community was invited to amend existing perfusion-related fields as well as add new ones to the current version of the Society of Thoracic Surgeons Congenital Heart Surgery Database (STS-CHSD). The International Consortium for Evidence-Based Perfusion (ICEBP) was invited by the STS-CHSD Task Force to identify and resolve ambiguities related to definitions among the 3 current perfusion-related fields as well as to propose new variables (and definitions) for inclusion in the 2010 update of the STS-CHSD. The ICEBP used teleconferences, wiki-based communication software, and e-mail to discuss current definitions and create new fields with definitions. The ICEBP created modified definitions to existing fields related to cardiovascular perfusion and also developed and defined new fields that focus on (1) techniques of circulatory arrest and cerebral perfusion, (2) strategies of myocardial protection, and (3) techniques to minimize hemodilution and allogeneic blood transfusions. Three fields in the STS-CHSD related to perfusion were redefined, and 23 new variables and definitions were selected for inclusion. Identifying and defining fields specific to the practice of perfusion are requisite for assessing and subsequently improving the care provided to patients undergoing congenital heart surgery. The article describes the methods and justification for adjudicating extant and new perfusion-related fields added to the 2010 update of the STS-CHSD.
authors.affiliation: Department of Cardiothoracic Surgery, Montefiore-Einstein Heart Center, Bronx, New York.
authors.forename: Kenneth G
authors.initials: KG
authors.lastname: Shann
authors.forename: Carmen R
authors.initials: CR
authors.lastname: Giacomuzzi
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Jacobs
authors.forename: Gerard J
authors.initials: GJ
authors.lastname: Myers
authors.forename: Theron A
authors.initials: TA
authors.lastname: Paugh
authors.forename: Nicholas
authors.initials: N
authors.lastname: Mellas
authors.forename: Luc
authors.initials: L
authors.lastname: Puis
authors.forename: Jorge W
authors.initials: JW
authors.lastname: Ojito
authors.forename: Daniel
authors.initials: D
authors.lastname: Gomez
authors.forename: Vincent
authors.initials: V
authors.lastname: Olshove
authors.forename: David C
authors.initials: DC
authors.lastname: Fitzgerald
authors.forename: Hideshi
authors.initials: H
authors.lastname: Itoh
authors.forename: Christopher
authors.initials: C
authors.lastname: Brabant
authors.forename: Clarke A
authors.initials: CA
authors.lastname: Thuys
authors.forename: Kevin
authors.initials: K
authors.lastname: Charette
authors.forename: Christos
authors.initials: C
authors.lastname: Calaritis
authors.forename: Michael
authors.initials: M
authors.lastname: Parpard
authors.forename: Tom
authors.initials: T
authors.lastname: Chancy
authors.forename: Robert A
authors.initials: RA
authors.lastname: Baker
authors.forename: Kamal K
authors.initials: KK
authors.lastname: Pourmoghadam
authors.forename: Donald S
authors.initials: DS
authors.lastname: Likosky
keywords: cardiopulmonary bypass; congenital heart disease (CHD); outcomes; pediatric; quality improvement; surgery